COPY DISTRIBUTION: Pg 1 - Elevator Safety Division; Pg 2 - Field Inspector; Pg 3 - Contractor's PERMIT (Post on Jobsite After Approved by Division) PAGE 1
PERMIT FORMS MUST BE SUBMITTED IN TRIPLICATE ELEVATOR PLANS MUST BE SUBMITTED IN HARDCOPY
DATE
PERMIT APPROVED BY
PERMIT NUMBER
CONTACT PHONE
STATE SERIAL NUMBER
The Department of Labor will not discriminate against any individual or group because of race, sex, religion, age, national origin, color, marital status, disability, or political beliefs. If you need help with reading, writing, hearing, etc., under the Americans with Disabilities Act, you may make your needs known to this agency.
Application for Elevator Installation Permit
Oklahoma Department of Labor
Safety Standards Division - Elevator Inspections
3017 N. Stiles, Suite 100
Oklahoma City, OK 73105
405-521-6100
CITY
TENTATIVE START DATE
MANUFACTURER'S NUMBER
ZIP CODE
TENTATIVE COMPLETION DATE
MANUFACTURED BY
RATED SPEED
CAPACITY
TYPE OF CONTROL
ELEVATOR LOCATION (BUILDING NAME)
LOCATION (ADDRESS)
CONTACT NAME
COUNTY
NUMBER OF LANDINGS
RISE OF CAR
TYPE OF DEVICE
LBS
FPM
FT
IN
OFFICE USE ONLY
AN INSPECTION AND CERTIFICATION FEE WILL BE CHARGED AT TIME OF ACCEPTANCE.
CONTRACTOR'S SIGNATURE
DATE
CONTRACTOR LICENSE NUMBER
CONTRACTOR'S COMPANY NAME AND BRANCH OFFICE (CITY)
CONTRACTOR SIGNATURE
Verify by initials that the following information is included in the Permit Application Specifications:
1. Code of construction of all components of elevator system including both ASME code, edition and addenda.
2. Code Data Plate to be stamped in accordance with ASME 17.1 Section 8.9
3. Qualification of welders in accordance with ASME Section 8.8 if welding is to be performed during installation.
4. Provide code specification checklist from general contractor, if applicable, showing Code & Edition of IBC, NEC, Fire safety and plumbing. (This will print out with the application if obtained online)
5. Specific reference to compliance with ASME 17.1 Section 2.8 Equipment in hoist ways and machine room.
6. Specific reference to compliance with ASME 17.1 Section 2.7 Machine rooms and machinery spaces.
7. Specific reference to compliance with ASME 17.1 Section 2.2 Pits.
8. Specific reference to compliance with ASME 17.1 Section 8.6 Maintenance or Section 8.7 Alterations.
9. Specific reference to compliance with ASME 17.1 Hydraulic jacks and special applicationelevators.
10. Location of smoke detectors, heat sensors, and power shunts as they pertain to HOIST WAY AND MACHINE ROOM if installed as part of a sprinkler system.
11. Detailled construction and design drawings of hoist way, machine room and elevator components.
12. Registered Professional Engineer signature approving all documents and specifications submitted in the Permit Application package.
AN INSPECTION FEE WILL BE CHARGED FOR ANY INSPECTOR VISIT TO SITE PRIOR TO ACCEPTANCE INSPECTION.
Revised 01/10/11
COPY DISTRIBUTION: Pg 1 - Elevator Safety Division; Pg 2 - Field Inspector; Pg 3 - Contractor's PERMIT (Post on Jobsite After Approved by Division) PAGE 1
PERMIT FORMS MUST BE SUBMITTED IN TRIPLICATE ELEVATOR PLANS MUST BE SUBMITTED IN HARDCOPY
DATE
PERMIT APPROVED BY
PERMIT NUMBER
CONTACT PHONE
STATE SERIAL NUMBER
The Department of Labor will not discriminate against any individual or group because of race, sex, religion, age, national origin, color, marital status, disability, or political beliefs. If you need help with reading, writing, hearing, etc., under the Americans with Disabilities Act, you may make your needs known to this agency.
Application for Elevator Installation Permit
Oklahoma Department of Labor
Safety Standards Division - Elevator Inspections
3017 N. Stiles, Suite 100
Oklahoma City, OK 73105
405-521-6100
CITY
TENTATIVE START DATE
MANUFACTURER'S NUMBER
ZIP CODE
TENTATIVE COMPLETION DATE
MANUFACTURED BY
RATED SPEED
CAPACITY
TYPE OF CONTROL
ELEVATOR LOCATION (BUILDING NAME)
LOCATION (ADDRESS)
CONTACT NAME
COUNTY
NUMBER OF LANDINGS
RISE OF CAR
TYPE OF DEVICE
LBS
FPM
FT
IN
OFFICE USE ONLY
AN INSPECTION AND CERTIFICATION FEE WILL BE CHARGED AT TIME OF ACCEPTANCE.
CONTRACTOR'S SIGNATURE
DATE
CONTRACTOR LICENSE NUMBER
CONTRACTOR'S COMPANY NAME AND BRANCH OFFICE (CITY)
CONTRACTOR SIGNATURE
Verify by initials that the following information is included in the Permit Application Specifications:
1. Code of construction of all components of elevator system including both ASME code, edition and addenda.
2. Code Data Plate to be stamped in accordance with ASME 17.1 Section 8.9
3. Qualification of welders in accordance with ASME Section 8.8 if welding is to be performed during installation.
4. Provide code specification checklist from general contractor, if applicable, showing Code & Edition of IBC, NEC, Fire safety and plumbing. (This will print out with the application if obtained online)
5. Specific reference to compliance with ASME 17.1 Section 2.8 Equipment in hoist ways and machine room.
6. Specific reference to compliance with ASME 17.1 Section 2.7 Machine rooms and machinery spaces.
7. Specific reference to compliance with ASME 17.1 Section 2.2 Pits.
8. Specific reference to compliance with ASME 17.1 Section 8.6 Maintenance or Section 8.7 Alterations.
9. Specific reference to compliance with ASME 17.1 Hydraulic jacks and special application elevators.
10. Location of smoke detectors, heat sensors, and power shunts as they pertain to HOIST WAY AND MACHINE ROOM if installed as part of a sprinkler system.
11. Detailled construction and design drawings of hoist way, machine room and elevator components.
12. Registered Professional Engineer signature approving all documents and specifications submitted in the Permit Application package.
AN INSPECTION FEE WILL BE CHARGED FOR ANY INSPECTOR VISIT TO SITE PRIOR TO ACCEPTANCE INSPECTION.
Revised 01/10/11
P E R M I T
COPY DISTRIBUTION: Pg 1 - Elevator Safety Division; Pg 2 - Field Inspector; Pg 3 - Contractor's PERMIT (Post on Jobsite After Approved by Division) PAGE 1
PERMIT FORMS MUST BE SUBMITTED IN TRIPLICATE ELEVATOR PLANS MUST BE SUBMITTED IN HARDCOPY
DATE
PERMIT APPROVED BY
PERMIT NUMBER
CONTACT PHONE
STATE SERIAL NUMBER
The Department of Labor will not discriminate against any individual or group because of race, sex, religion, age, national origin, color, marital status, disability, or political beliefs. If you need help with reading, writing, hearing, etc., under the Americans with Disabilities Act, you may make your needs known to this agency.
Application for Elevator Installation Permit
Oklahoma Department of Labor
Safety Standards Division - Elevator Inspections
3017 N. Stiles, Suite 100
Oklahoma City, OK 73105
405-521-6100
CITY
TENTATIVE START DATE
MANUFACTURER'S NUMBER
ZIP CODE
TENTATIVE COMPLETION DATE
MANUFACTURED BY
RATED SPEED
CAPACITY
TYPE OF CONTROL
ELEVATOR LOCATION (BUILDING NAME)
LOCATION (ADDRESS)
CONTACT NAME
COUNTY
NUMBER OF LANDINGS
RISE OF CAR
TYPE OF DEVICE
LBS
FPM
FT
IN
OFFICE USE ONLY
AN INSPECTION AND CERTIFICATION FEE WILL BE CHARGED AT TIME OF ACCEPTANCE.
CONTRACTOR'S SIGNATURE
DATE
CONTRACTOR LICENSE NUMBER
CONTRACTOR'S COMPANY NAME AND BRANCH OFFICE (CITY)
CONTRACTOR SIGNATURE
Verify by initials that the following information is included in the Permit Application Specifications:
1. Code of construction of all components of elevator system including both ASME code, edition and addenda.
2. Code Data Plate to be stamped in accordance with ASME 17.1 Section 8.9
3. Qualification of welders in accordance with ASME Section 8.8 if welding is to be performed during installation.
4. Provide code specification checklist from general contractor, if applicable, showing Code & Edition of IBC, NEC, Fire safety and plumbing. (This will print out with the application if obtained online)
5. Specific reference to compliance with ASME 17.1 Section 2.8 Equipment in hoist ways and machine room.
6. Specific reference to compliance with ASME 17.1 Section 2.7 Machine rooms and machinery spaces.
7. Specific reference to compliance with ASME 17.1 Section 2.2 Pits.
8. Specific reference to compliance with ASME 17.1 Section 8.6 Maintenance or Section 8.7 Alterations.
9. Specific reference to compliance with ASME 17.1 Hydraulic jacks and special application elevators.
10. Location of smoke detectors, heat sensors, and power shunts as they pertain to HOIST WAY AND MACHINE ROOM if installed as part of a sprinkler system.
11. Detailled construction and design drawings of hoist way, machine room and elevator components.
12. Registered Professional Engineer signature approving all documents and specifications submitted in the Permit Application package.
AN INSPECTION FEE WILL BE CHARGED FOR ANY INSPECTOR VISIT TO SITE PRIOR TO ACCEPTANCE INSPECTION.
Revised 01/10/11
CODE SPECIFICATION CHECKLIST
Mark Costello COMMISSIONER OF LABOR
Oklahoma Department of Labor
The following information is necessary in order for our office to properly evaluate a request for a permit.
2. IBC Code and Edition:
3. NEC Code and Edition:
a. General Contractor Name:
b. Address:
City, State, Zip Code
Phone Number
3017 N. Stiles, Suite 100, Oklahoma City, Oklahoma 73105-5212 . Telephone 405-521-6100 . Fax 405-521-6025 . www.labor.ok.gov
1. General Contractor Information:
If the latest edition/addenda of the above code(s) are not applicable, provide explanation for deviation of this requirement to the Elevator Law:
Revised 01/10/11

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COPY DISTRIBUTION: Pg 1 - Elevator Safety Division; Pg 2 - Field Inspector; Pg 3 - Contractor's PERMIT (Post on Jobsite After Approved by Division) PAGE 1
PERMIT FORMS MUST BE SUBMITTED IN TRIPLICATE ELEVATOR PLANS MUST BE SUBMITTED IN HARDCOPY
DATE
PERMIT APPROVED BY
PERMIT NUMBER
CONTACT PHONE
STATE SERIAL NUMBER
The Department of Labor will not discriminate against any individual or group because of race, sex, religion, age, national origin, color, marital status, disability, or political beliefs. If you need help with reading, writing, hearing, etc., under the Americans with Disabilities Act, you may make your needs known to this agency.
Application for Elevator Installation Permit
Oklahoma Department of Labor
Safety Standards Division - Elevator Inspections
3017 N. Stiles, Suite 100
Oklahoma City, OK 73105
405-521-6100
CITY
TENTATIVE START DATE
MANUFACTURER'S NUMBER
ZIP CODE
TENTATIVE COMPLETION DATE
MANUFACTURED BY
RATED SPEED
CAPACITY
TYPE OF CONTROL
ELEVATOR LOCATION (BUILDING NAME)
LOCATION (ADDRESS)
CONTACT NAME
COUNTY
NUMBER OF LANDINGS
RISE OF CAR
TYPE OF DEVICE
LBS
FPM
FT
IN
OFFICE USE ONLY
AN INSPECTION AND CERTIFICATION FEE WILL BE CHARGED AT TIME OF ACCEPTANCE.
CONTRACTOR'S SIGNATURE
DATE
CONTRACTOR LICENSE NUMBER
CONTRACTOR'S COMPANY NAME AND BRANCH OFFICE (CITY)
CONTRACTOR SIGNATURE
Verify by initials that the following information is included in the Permit Application Specifications:
1. Code of construction of all components of elevator system including both ASME code, edition and addenda.
2. Code Data Plate to be stamped in accordance with ASME 17.1 Section 8.9
3. Qualification of welders in accordance with ASME Section 8.8 if welding is to be performed during installation.
4. Provide code specification checklist from general contractor, if applicable, showing Code & Edition of IBC, NEC, Fire safety and plumbing. (This will print out with the application if obtained online)
5. Specific reference to compliance with ASME 17.1 Section 2.8 Equipment in hoist ways and machine room.
6. Specific reference to compliance with ASME 17.1 Section 2.7 Machine rooms and machinery spaces.
7. Specific reference to compliance with ASME 17.1 Section 2.2 Pits.
8. Specific reference to compliance with ASME 17.1 Section 8.6 Maintenance or Section 8.7 Alterations.
9. Specific reference to compliance with ASME 17.1 Hydraulic jacks and special applicationelevators.
10. Location of smoke detectors, heat sensors, and power shunts as they pertain to HOIST WAY AND MACHINE ROOM if installed as part of a sprinkler system.
11. Detailled construction and design drawings of hoist way, machine room and elevator components.
12. Registered Professional Engineer signature approving all documents and specifications submitted in the Permit Application package.
AN INSPECTION FEE WILL BE CHARGED FOR ANY INSPECTOR VISIT TO SITE PRIOR TO ACCEPTANCE INSPECTION.
Revised 01/10/11
COPY DISTRIBUTION: Pg 1 - Elevator Safety Division; Pg 2 - Field Inspector; Pg 3 - Contractor's PERMIT (Post on Jobsite After Approved by Division) PAGE 1
PERMIT FORMS MUST BE SUBMITTED IN TRIPLICATE ELEVATOR PLANS MUST BE SUBMITTED IN HARDCOPY
DATE
PERMIT APPROVED BY
PERMIT NUMBER
CONTACT PHONE
STATE SERIAL NUMBER
The Department of Labor will not discriminate against any individual or group because of race, sex, religion, age, national origin, color, marital status, disability, or political beliefs. If you need help with reading, writing, hearing, etc., under the Americans with Disabilities Act, you may make your needs known to this agency.
Application for Elevator Installation Permit
Oklahoma Department of Labor
Safety Standards Division - Elevator Inspections
3017 N. Stiles, Suite 100
Oklahoma City, OK 73105
405-521-6100
CITY
TENTATIVE START DATE
MANUFACTURER'S NUMBER
ZIP CODE
TENTATIVE COMPLETION DATE
MANUFACTURED BY
RATED SPEED
CAPACITY
TYPE OF CONTROL
ELEVATOR LOCATION (BUILDING NAME)
LOCATION (ADDRESS)
CONTACT NAME
COUNTY
NUMBER OF LANDINGS
RISE OF CAR
TYPE OF DEVICE
LBS
FPM
FT
IN
OFFICE USE ONLY
AN INSPECTION AND CERTIFICATION FEE WILL BE CHARGED AT TIME OF ACCEPTANCE.
CONTRACTOR'S SIGNATURE
DATE
CONTRACTOR LICENSE NUMBER
CONTRACTOR'S COMPANY NAME AND BRANCH OFFICE (CITY)
CONTRACTOR SIGNATURE
Verify by initials that the following information is included in the Permit Application Specifications:
1. Code of construction of all components of elevator system including both ASME code, edition and addenda.
2. Code Data Plate to be stamped in accordance with ASME 17.1 Section 8.9
3. Qualification of welders in accordance with ASME Section 8.8 if welding is to be performed during installation.
4. Provide code specification checklist from general contractor, if applicable, showing Code & Edition of IBC, NEC, Fire safety and plumbing. (This will print out with the application if obtained online)
5. Specific reference to compliance with ASME 17.1 Section 2.8 Equipment in hoist ways and machine room.
6. Specific reference to compliance with ASME 17.1 Section 2.7 Machine rooms and machinery spaces.
7. Specific reference to compliance with ASME 17.1 Section 2.2 Pits.
8. Specific reference to compliance with ASME 17.1 Section 8.6 Maintenance or Section 8.7 Alterations.
9. Specific reference to compliance with ASME 17.1 Hydraulic jacks and special application elevators.
10. Location of smoke detectors, heat sensors, and power shunts as they pertain to HOIST WAY AND MACHINE ROOM if installed as part of a sprinkler system.
11. Detailled construction and design drawings of hoist way, machine room and elevator components.
12. Registered Professional Engineer signature approving all documents and specifications submitted in the Permit Application package.
AN INSPECTION FEE WILL BE CHARGED FOR ANY INSPECTOR VISIT TO SITE PRIOR TO ACCEPTANCE INSPECTION.
Revised 01/10/11
P E R M I T
COPY DISTRIBUTION: Pg 1 - Elevator Safety Division; Pg 2 - Field Inspector; Pg 3 - Contractor's PERMIT (Post on Jobsite After Approved by Division) PAGE 1
PERMIT FORMS MUST BE SUBMITTED IN TRIPLICATE ELEVATOR PLANS MUST BE SUBMITTED IN HARDCOPY
DATE
PERMIT APPROVED BY
PERMIT NUMBER
CONTACT PHONE
STATE SERIAL NUMBER
The Department of Labor will not discriminate against any individual or group because of race, sex, religion, age, national origin, color, marital status, disability, or political beliefs. If you need help with reading, writing, hearing, etc., under the Americans with Disabilities Act, you may make your needs known to this agency.
Application for Elevator Installation Permit
Oklahoma Department of Labor
Safety Standards Division - Elevator Inspections
3017 N. Stiles, Suite 100
Oklahoma City, OK 73105
405-521-6100
CITY
TENTATIVE START DATE
MANUFACTURER'S NUMBER
ZIP CODE
TENTATIVE COMPLETION DATE
MANUFACTURED BY
RATED SPEED
CAPACITY
TYPE OF CONTROL
ELEVATOR LOCATION (BUILDING NAME)
LOCATION (ADDRESS)
CONTACT NAME
COUNTY
NUMBER OF LANDINGS
RISE OF CAR
TYPE OF DEVICE
LBS
FPM
FT
IN
OFFICE USE ONLY
AN INSPECTION AND CERTIFICATION FEE WILL BE CHARGED AT TIME OF ACCEPTANCE.
CONTRACTOR'S SIGNATURE
DATE
CONTRACTOR LICENSE NUMBER
CONTRACTOR'S COMPANY NAME AND BRANCH OFFICE (CITY)
CONTRACTOR SIGNATURE
Verify by initials that the following information is included in the Permit Application Specifications:
1. Code of construction of all components of elevator system including both ASME code, edition and addenda.
2. Code Data Plate to be stamped in accordance with ASME 17.1 Section 8.9
3. Qualification of welders in accordance with ASME Section 8.8 if welding is to be performed during installation.
4. Provide code specification checklist from general contractor, if applicable, showing Code & Edition of IBC, NEC, Fire safety and plumbing. (This will print out with the application if obtained online)
5. Specific reference to compliance with ASME 17.1 Section 2.8 Equipment in hoist ways and machine room.
6. Specific reference to compliance with ASME 17.1 Section 2.7 Machine rooms and machinery spaces.
7. Specific reference to compliance with ASME 17.1 Section 2.2 Pits.
8. Specific reference to compliance with ASME 17.1 Section 8.6 Maintenance or Section 8.7 Alterations.
9. Specific reference to compliance with ASME 17.1 Hydraulic jacks and special application elevators.
10. Location of smoke detectors, heat sensors, and power shunts as they pertain to HOIST WAY AND MACHINE ROOM if installed as part of a sprinkler system.
11. Detailled construction and design drawings of hoist way, machine room and elevator components.
12. Registered Professional Engineer signature approving all documents and specifications submitted in the Permit Application package.
AN INSPECTION FEE WILL BE CHARGED FOR ANY INSPECTOR VISIT TO SITE PRIOR TO ACCEPTANCE INSPECTION.
Revised 01/10/11
CODE SPECIFICATION CHECKLIST
Mark Costello COMMISSIONER OF LABOR
Oklahoma Department of Labor
The following information is necessary in order for our office to properly evaluate a request for a permit.
2. IBC Code and Edition:
3. NEC Code and Edition:
a. General Contractor Name:
b. Address:
City, State, Zip Code
Phone Number
3017 N. Stiles, Suite 100, Oklahoma City, Oklahoma 73105-5212 . Telephone 405-521-6100 . Fax 405-521-6025 . www.labor.ok.gov
1. General Contractor Information:
If the latest edition/addenda of the above code(s) are not applicable, provide explanation for deviation of this requirement to the Elevator Law:
Revised 01/10/11